IMAGES IN CARDIO-THORACIC SURGERY

European Journal of Cardio-Thoracic Surgery 45 (2014) e40 doi:10.1093/ejcts/ezt531 Advance Access publication 19 November 2013

Right single-lung transplantation for pulmonary alveolar microlithiasis Roberto Borrellia, Antonella Fossib, Luca Volterranic and Luca Voltolinid,* a b c d

Thoracic Surgery Unit, University Hospital of Siena, Siena, Italy Pneumology Unit, University Hospital of Siena, Siena, Italy Radiology Unit, University Hospital of Siena, Siena, Italy Lung Transplant Program, University Hospital of Siena, Siena, Italy

* Corresponding author. U.O.S.A. Trapianto di polmone c/o Azienda Ospedaliera Universitaria Senese, Viale Mario Bracci 16, Siena 53100, Italy. Tel: +39-0-577585130; fax: +39-0-577586140; e-mail: [email protected] (L. Voltolini). Received 10 May 2013; received in revised form 11 September 2013; accepted 17 September 2013

Keywords: Lung • Transplantation • Pulmonary alveolar microlithiasis

A 64-year old woman with pulmonary alveolar microlithiasis underwent a right single-lung transplantation in 2008. She recovered uneventfully. We report two images (Figs 1 and 2) obtained at her

5-year follow-up visit. At present, she leads an independent and active life. Her last forced expiratory volume in 1st second and forced vital capacity were 96 and 91% of predicted, respectively.

Figure 1: Pre- and postoperative chest x-ray demonstrating widespread micronodular infiltrates characteristic of pulmonary alveolar microlithiasis in the native lung.

Figure 2: High-resolution computed tomography. Coronal view does not show any evidence of recurrence in the transplanted lung.

© The Author 2013. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Right single-lung transplantation for pulmonary alveolar microlithiasis.

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